Individual provider Active NPI

Brittney Connery, LICSW

  • Clinical Social Worker
  • Concord, MA
National Provider Identifier
1184194904
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
300 Baker Avenue
Suite 300
Concord, MA 01742
Phone
(864) 336-2731
Fax
(833) 740-3387
NPI assigned
Dec 5, 2018
Last updated
Mar 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

300 Baker Avenue
Suite 300
Concord, MA 01742

Mailing address

144 Oakland St
Wellesley, MA 02481-5323
Phone (864) 336-2731

Other practice location 1

85 E High St
Avon, MA 02322-1218
Phone (857) 939-1692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240720000184 NH Practitioner - Clinical Social Worker 0345687711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1184194904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 OAKLAND ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024815323",
            "telephone_number": "864-336-2731",
            "fax_number": "833-740-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BAKER AVENUE",
            "address_2": "SUITE 300",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "01742",
            "telephone_number": "864-336-2731",
            "fax_number": "833-740-3387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 E High St",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "MA",
            "postal_code": "023221218",
            "country_code": "US",
            "telephone_number": "857-939-1692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNERY",
        "first_name": "BRITTNEY",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-05",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

Verify at the official NPI Registry.